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The impact of an ostomy on older colorectal cancer patients: a cross-sectional survey.

Abstract：

BACKGROUND:Ostomies are being placed in 35 % of patients after colorectal cancer surgery. As decision-making regarding colorectal surgery is challenging in the older patients, it is important to have insight in the potential impact due to ostomies. METHODS:An internet-based survey was sent to all members with registered email addresses of the Dutch Ostomy Patient Association. RESULTS:The response rate was 49 %; 932 cases were included of whom 526 were aged <70 years old ("younger respondents"), 301 were aged between 70 and 79 years old ("the elderly"), and 105 were aged ≥80 years old ("oldest old"). Ostomy-related limitations were similar in the different age groups, just as uncertainty (8-10 %) and dependency (18-22 %) due to the ostomy. A reduced quality of life was experienced least in the oldest old group (24 % vs 37 % of the elderly and 46 % of the younger respondents, p < 0.001). Over time, a decrease of limitations and impact due to the ostomy was observed. CONCLUSION:Older ostomates do not experience more limitations or psychosocial impact due to the ostomy compared to their younger counterparts. Over the years, impact becomes less distinct. Treatment decision-making is challenging in the older colorectal cancer patients but ostomy placement should not be withheld based on age alone.

journal_name

Int J Colorectal Dis

journal_title

International journal of colorectal disease

authors

Verweij NM,Hamaker ME,Zimmerman DD,van Loon YT,van den Bos F,Pronk A,Borel Rinkes IH,Schiphorst AH

doi

10.1007/s00384-016-2665-8

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

89-94

issue

1

eissn

0179-1958

issn

1432-1262

pii

10.1007/s00384-016-2665-8

journal_volume

32

pub_type

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